Thea E Bruce , LCPC
Counselor • Rockford, IL
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Thea Bruce has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Thea Bruce, LCPC was a registered Counselor practicing in Rockford, IL. Throughout an active medical career spanning 16 years, Thea Bruce provided care at the practice location at 210 N LONGWOOD ST until profile deactivation on 2023-11-11.
Practice Location & Contact Primary Location
210 N Longwood St
Rockford, IL 611074134
Specialty Benchmarks & Practice Insights
Comparative analytics for Counselor in Rockford, IL
Practicing in Rockford, IL (3897 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 101Y00000X
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Counselor - Professional
Licensed Professional Counselor
Social Worker - Clinical
Counselor
Licensed Professional Counselor
Social Worker - Clinical
Licensed Clinical Social Worker
Counselor
Licensed Professional Counselor
Social Worker
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on November 11, 2023
NPI status registered as active in NPPES database
Registered at 210 N LONGWOOD ST, ROCKFORD, IL 611074134 (Tel: 8159625585)
Registered at 1816 MELROSE ST, ROCKFORD, IL 611034750 (Tel: 8159651397)
Recorded as THEA BRUCE, L.C.P.C.
Counselor
First registered as active Individual Practitioner in NPPES Database.
Patient & Community Reviews
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NPI Administrative Meta
Mailing Address
1816 Melrose St
Rockford, IL 611034750
Phone: 8159651397
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